Healthcare Provider Details

I. General information

NPI: 1548114556
Provider Name (Legal Business Name): HANNAH BLACKBURN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4021 AVENUE B
SCOTTSBLUFF NE
69361-4602
US

IV. Provider business mailing address

280362 CR J
MINATARE NE
69356
US

V. Phone/Fax

Practice location:
  • Phone: 308-360-2081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number85000
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: